Ag San Gabriel, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

950000016 Issued in CA

Legal business name

AG SAN GABRIEL, LLC

Practice address

112 East Broadway
San Gabriel, CA 91776

Phone

(626) 285-2165

Fax

(626) 287-4061

NPI assigned

Sep 8, 2005

Organization subpart

No

Name

Mr. Jacob Wintner

Title

Manager

Phone

(323) 651-1808

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Oscar L. Chien, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Gabriel, CA
  • NPI 1679675904

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• 13333 Fenton Ave LLC

  • Skilled Nursing Facility
  • Sylmar, CA
  • NPI 1184619827

  Cambridge Healthcare Services LLC, Win Win Enterprises, LLC

  CMS ownership
• 13400 Sherman Way LLC

  • Skilled Nursing Facility
  • North Hollywood, CA
  • NPI 1801881479

  Cambridge Healthcare Services LLC, Win Win Enterprises, LLC

  CMS ownership
• 1440 South Euclid St LLC

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1740275486

  Win Win Enterprises, LLC

  CMS ownership
• 3067 Orange Avenue LLC

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1568457299

  Win Win Enterprises, LLC

  CMS ownership
• 5648 East Gotham Street LLC

  • Skilled Nursing Facility
  • Bell Gardens, CA
  • NPI 1548255284

  Cambridge Healthcare Services LLC, Win Win Enterprises, LLC

  CMS ownership
• Ag Arcadia, LLC

  • Skilled Nursing Facility
  • Arcadia, CA
  • NPI 1649264292

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag la Mesa, LLC

  • Skilled Nursing Facility
  • La Mesa, CA
  • NPI 1457345001

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag Laguna Hills, LLC

  • Skilled Nursing Facility
  • Laguna Hills, CA
  • NPI 1720072374

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag Lynwood, LLC

  • Skilled Nursing Facility
  • Lynwood, CA
  • NPI 1144214628

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag Monrovia, LLC

  • Skilled Nursing Facility
  • Monrovia, CA
  • NPI 1043204522

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag Murrieta SNF, LLC

  • Skilled Nursing Facility
  • Murrieta, CA
  • NPI 1174517650

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership
• Ag Rancho Mirage, LLC

  • Skilled Nursing Facility
  • Rancho Mirage, CA
  • NPI 1164416657

  Ag Facilities Operations, LLC, BH Alliance, Cambridge Healthcare Services LLC, Ira E Smedra Living Trust, Win Win Enterprises, LLC

  CMS ownership

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Oscar L. Chien, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Gabriel, CA
  • NPI 1679675904

  Nursing home

  Care Compare affiliation
• William A Chua, M.D.

  • Hematology & Oncology Physician
  • Montebello, CA
  • NPI 1639199656

  Nursing home

  Care Compare affiliation
• Han Van Duong, M.D.& D.O.

  • Internal Medicine Physician
  • Rosemead, CA
  • NPI 1013070234

  Nursing home

  Care Compare affiliation
• Tarek R Nassif, MD

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1730124611

  Nursing home

  Care Compare affiliation
• Bosheng Qiu, M.D

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1417096363

  Nursing home

  Care Compare affiliation

Listed as

Broadway Healthcare CenterCCN 056201

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 22, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5956.3 residents per day on average

Chain

Cambridge Healthcare Services32 facilities in the chain

Penalties (3 years)

1Fines totaling $3,145

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Legal name

AG SAN GABRIEL LLC

Doing business as

BROADWAY HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 22, 1971

Last certification

Jan 24, 2025

Beds

59

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Cambridge Healthcare Services

Organization structure

LLCProprietary

Incorporated

Jul 24, 2003 in CA

Enrollment address

112 E Broadway
San Gabriel, CA 91776-1805

Nursing home name

BROADWAY HEALTHCARE CENTER

Affiliated entity

CAMBRIDGE HEALTHCARE SERVICES

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

• Broadway Healthcare Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2014.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1477547024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EAST BROADWAY",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-285-2165",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EAST BROADWAY",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-285-2165",
            "fax_number": "626-287-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG SAN GABRIEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05592I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.